Loading...
2000-484 TOWN CIF CLUE N E SBURY �742 Bay Road, Queensbury, NY 12804-5902 (518) 7b1-8201 Community Development - Building & Codes (518) 761=8256 C"ATEF OCCUPANCYCERTIFI Permit Number. P20000484 Date Issued: Wednesday, November 15, 200 This is to certify that work requested to be done as shown by Permit Number P20000484 has been completed. Tax Map Number. 523400-074-00 - 0 2 009 -0t -0000 Location: 54 SARA-1EN Dr Owner. GUIDO PASSARELLI This structure may be occupied as a: Single Family Dwelling By Order of Town Board TOWN OF QUEENSBURY Director of Building & Code Enforcement TOWN OF QUEEWSBBURY 742 Bay Road, Queensbury, N5' 1280-4-5902 (518) 761-8241 Community Development - Building & Codes (51.8) 76I-8256 BUILDING PERMIT Permit Number: P20000484 Application Number. A20000482 Tax Alap No: 523400-074-000-0002-093-000-0000 Permission is hereby granted*to: GUIDO PASSARELLI Owner of property located. at SARA4EN Dr in the Town of Queensbury, to construct or place a Single Family Dwelling at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance, 0wrier address: GUIDO PASSA.R.ELLI 2569 LAKE Ave LAKE LUZERNE, NY 12846 Contractor or Builder's Name / Address Electrical inspection .Agency MICHAELS GROUP NEW YORK BOARD 10 BLACKSMITH Dr STE 1 MIALTA. NY 1-2020 Type of Construction: Single Family Dwelling Plans Sc Specifications S330.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Wednesday, July 17, 2002 (Ifa longer period is required, an application for an extension must be made to the code Enforcement Officer of the Toxcm of Queensbury before the expiration date.) Dated at the T o uee jury `r11r tia z, au13t 1. 7, 2000 i SFGNE1 BY "��' 'S�`" for the Town of Queensbury. Director of Building & Code Enforcement Building Permit Application Town of Queensbu y - Dept. Of ColrrrrtuJtiry Drrelvinnertt, 742 Bety Rural, Q4rre11sl111ry, NY 12804 1761 -82 61 NOTICE BUILDING do - CODE ENFORCEMENT i}�•f' Requirementsfthis permit: prior to issuance A permit must l�o Obtain7beforoof this Permit: PC1tAIr ' ' E NCJ. bcbirsningcoax[ruction. tic)nswibe made until applicceived Zoning Board Action PERM1T FCC 11AID $ 305 a VAI.IL7 UILDINC3 I) All Area I Useapplicants' spaces an thin RCCR��"� FCCMUST be completed aitture Pkmnb; Board Acton � � of the applicant, must appear on the g REVIC i D l3Y, PR I Subdivision I other tT, +Gl;n¢ tr :t,rerrr lication form, n�.l y., S- ^-++ Recreation Fee Payment Applicant: TI4E Mtt; is Owncr: 4:� �rnE �_. . Address: r`+ �2[��24 Address: d Phone # ( 5j i_) _ ' �N%L_ I)hotto # iFI-- Property Location: Subdivision Idstrttc: go IMF f�X '1VtalY Nunrbcr NATURE OF PROPOSED WORK : ESTIMATED MARKET VALUE OF 7ISE _ New Building : CONSTRUCTION : $ _� 3 9pCy residence / commercial f -- - Addition to Building : residence / commercial. OCCUPANCY INFORMATION : Alteration to Building : Primary Building - residence / commercial Single Family Dwelling Residence / Commercial Two Family Dwelling no change to exterior size Family Dwelling Office Other Work ( describe below ) Mercantile Manufacturing Other GROSS AREA. OF PROPOSED STRUCTURE : 1st Floor . . . . / ] If ADDITION , what will use 2nd .Floor . . . . . . . s sq . ft of new addition be ? : Other Floors , aq , ft -� � _. ( not unfinished ce llar or base entpD ~ ACCESSORY BUILDINGS * , lI Detached Garage 1 , 2 r TOTAL FLOOR AREA ; � 7_ "! SQ . FT . _tom Attached Garage 1 r ca Building SIZE OF NEW STRUCTURE : Private Storage Commercial Storage Building FEET X �5 Y FEET d father Foundation Type : :KNIRM:z Will any second - hand or ungraded Number of Stories : 7 lumber be used ? If so , for what ? ( habitable space only ) Height ( grade to ridge ) : �� feet TYPE of HEATING SYSTEMo Number of fireplaces and /or woo stove ( circle all which a plies ) to be installed : 1 .„� Electric / fail / as / Wood Forced Hot Air / Baseboard i other Person responsible for supervision of work as regards to building codes i s : nX Lzrmlc&r-k 1116" e A dre s Phone L Builder : Plumber : ' Mason : rJX21 l Ca CAN Electrician : DEG'L r1 i2ATIC7No Please sign: below after ,you luxve carefully read the statetrtent. To the best of my knowledge the statements contained in this application, together with the pions and specifications submitted, are a true and complete statement of all Proposer[ work to be done on the described premises and that all provisions of the Building Code, the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied with, whether specified or noted, and that such work is authorized by the owner. Further, it is understood that I/we shall submit prior to a Certificate of Occupancy'or Certific a of Compliance being. issued , -tin AS BUILT PLOT PLAIN by a licensed stuveyor; yawn to sc I showing actual location of project on premises. Signature: ( ncr, owner"'S'agAlt, architect, contractor) Application for Perm it - Septic Disposal System 7'01WI Of Q " "J AIINbl" y 742 flay Road f ueen.4rbury, N)' IZY0l ('SIN) 761-,Y3.56 I . OWNER INFORMATION: _.............................................. ............................ .. C Office Use f Location of installation: Tax Map No. / ( File Permit No L. Owner's Name. Ti lrlrr.. %,c, IDIt\ 5 Fee Paid ; .......... . . .. . ........... ....................................................................€ Address: ,b �1"�f �5^-�.` =� 1'`�G � ► �ls-* �tC] 2. INSTALLER'S NAME (ssd G1�J� tiZ� � -,y2�r�v .. PHONE NO. Cr,2w�S— ! 1k\ (Pj 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate # bedroorn(s) and multiply � rrf- bedrooms with applicable gallons per bedroom to equal !oral doily flow) Year of House: N2, of' Bedrooms x Computation — Total Daily Flow JUL 1 2000 1980 or older x 150 gaUbdrin — 1980 — 1991 x 130 gal/bdrtia — 1991 — present x 1 I0 gallbdrin Garbage Grinder Installed yes / no Spa or Whirlpool Installed yes . / no 4 , PARCEL INFORMATION: (circle applicablo information & indicate maasurcaaaents) 0 o Fra 17 Soil Nature run Water Bedrock or ImRervious Material Doinestic Water supply l�Yrre safe at what depth at what aepllr nrruricilJal-�-� Rolling loam jeel fi,�,1 t- - sl ep .slope• clay if'werll; wafer siepply slope other fi-om nn v ,sc�lJtic-sy.sterrr depth: absor;peiorr is other Percolation Test; (1'rJ be crrrrrpleecrd by licc'nccd prufes'slunul cn� iraeer ire arelritreef - - -- _ V Rate: ___ rrrirrrrle !rc'r irrclr 5 . PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by a licensed professional engineer or architect (unless installed in as Planning Board approved subdivision). Add 250 gallons co the size of tine scptic tank and leach fold for each Garbage Grinder, Spa or Whirlpool Tub. Septic Tank: ri gallon (inin. size 1, 000gat.) Tile Field: early trerrclx �' 4 f?. Total System Length: Seepage Pit(s): number of _� size of'each: _ /!, by fi, Size OfStCNae to be used: 11 _ f depth or thickness Bed System Size: x Alternative System: _ -__ length andlor size 6. HOLDING TANK SYSTEM : (if required) Id .arbor oftasaks: N •, : Siz-0 of each: gallons i TOT AL Capacity: gallons Note: Alarm System and associated electrical work must be inspected by a Town approved electrical inspection agency. 7. SIGNATURE & INFORMATION FOR RESPONSIBLE PERSON (please read) For your protection, please note that pursuant to Section 136-29 of the Code of tlae Town of Queensbury, any permit or approval granted which is based upon or is granted ill reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant, shall be void. I have read the regulations with respect to this application and agree to abide by theso and all requuireemeents of the Town of Q ueensbury Sanitary Sewage Disposal Ordinance, lies lam '� J& s SIbnature of responsible person Gate, TOWN OF QU4ENSBURY Fee Paid BUIPPLI INGCAT O CODES DEPARTMENT JUL ? 20pp Pe rm i t APPLICATION FOR : PORCHES-DCCKS- DOCKS & BOATHOUSES Est . Cust; A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . PLEASE ANSWER ALL OF THE FOLLowirIG : The undersigned hereby applies for a Bui 1 (ling Permit to do the i'ol l owi ng work w}ri cjj vjI l l I)e done in accordance with the description , plans and specifications subnri ttecl , and such special conditions as may be indicated on the permit . TW0 SET'S Or STRUCTURAL PLANS SIJALL 11F SUBMITTED WITH THIS APPLICATION , Owner of Property : �rj±e AA IG" L I 4i C2 ity t� p P . O . Address ruck Phone # Property Location Ct-k .D Tax Maly !1 Subdivision Name ( If applicable ) PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES : Name : Address Phonell BUILDING SPECIFICATIONS : Type of work to be done : Porch QED Dock I30athause ( Circle one ) Size of Structure to be built ( square footage ) : '�Z '7 rT-- Foundation Material : Width Thickness Depth of Footing , below grade ; Size of Posts or Studs : x x Long Size of Floor Joists : x x Span Decking or Flooring Material : How will Porch or Deck be fastened to building ? If Roof Will Be Installed , Answer Following Questions : Size of Posts or Studs ; x x Long Roof Rafters : x Spacing Span Roof Trusses ( pre - engineered spacing ) ; Span Type of Roof : Sloped Flat Shed Other ( Circle one ) Material of Roof : ZONING INFORMATION : T140 PLOT PLANS MUST BE PREPARED AND SUBMITTED , drawr7 reasonably to scale and a t Lacked 11ereto , S owing c I ear I y and distinct I y a I I buii' dings , whether existing or prolosed and indicate all set back dimensions from property lines . Show location of water supply and location and configuration of septic disposal area . Size of Property : ft . x ft Existing building ( s ) : Size ft . x ft . Size fit , x ft . Use of Existing building ( s ) : Prol� osed structure , distance from l� rol�'Or t'y i ine : Front yard ft • Rear yard fi: , Side yards ft , and If on corner , setback from side street : ft DECLARATI01q To the best of dray knowledge and belief the statements contained in this application , together with the plans and specifications submitted , rtre a true and Complete statement of all proposed work to be done on the described premises and that all provisions or the Building Code , the Zoning Ordinance , and all other laws pertaining to the proposed work shall be Complied with . whether specified or not , and that such work is authorized by tlje owner . DATE : Lb c�a SIGNATURE Own e -,-Owner s Agency , Architect , Contractor tE V I EWER BY CODE ENFORCEMENT OFFICER , DATE SIGNATURE I ire Ai:trslr:rl 's 0 11 i QtIuoIIs1r131'\ , ?,! ? 13.rr• Road, QuccIt' tIParY, N i Application for Fuel Burning Appliances & Chimneys applicable to solid fuel & vented gas appliances j �_ Ir - DateV _—. ?() y - Permit No. I rt J rlicemorl Is hereh ' ,rraifc tt, fbo Building r J I II 1 ,� � C�rJ(, e's CJflf!'c� 1+Jr llte' i.s.+uetrrc'e tlJtt IJ'rtilr� irrlr ttrtrl {,;s'[` Permit prirssieaw to the New Yi vk Sr(r£e Fire Prc°rrc°rr iwi <:rref I3r(il(lirrg C 'r) f. l7fc uIJIJlrc urrr rrr uis rrrr u rec.s rn CornlJly rt 1h crll uplJlicahle lirI% S. ordilrarrces, r eglilerrierrrs. (roil (ill c olydiriorrs flair rare !girt of tjrcuec° r e<luireruerrt,, rrtrtl also r%Jill allll1t" Crll inspectors to ("trio f)rerrrr.ie-N rrr per•1orin rGclriii-ed irrqJeciiorr.s . NOTE to applicant : Dough - In and Final Inspections are required. Aj)plicant Information Fuel Bu1-ning Appliance Infoi-mation ( circle appropriute \Lords) Name :40. 17�t� AL-_I` .-. C �'2 T stove: Wood caul pellet gc�s I=irep 'ace insert Address: 1L2_.$'f4C 4SMAJJ "ti Firuplcrcc, factory-built ; Wood T Sla mw) k7�uz U Fireplace, rriasonr'y: ivoocr 04c1`s Furnace- wood jj...� oil Phone: -( + 1i 4W1 fS If non-masonary applicance, Tease provide ManLl fact Lirer Name- Address : 4odel NUMbOr: Chimney Infoi-tnation I l-'['rcrrle: _�_ f� ircic zrlxpropriate n orris) I Masozlry block brick stone i Flue file r size: inches ,�r- I Exact Address=J 1 risk" Lwat LoTq :5 of cortsrr•uctiorr or irrsrallatiorr FactUry-BUilt Mariilfacturer name: Model Number: JVote'- Listed Bv: Number: S! Corr brm to NYS Fire Prevention & Ruildiilg Indicate (circle) chimney material : i C'ode. C'orrsrrll available Town of Qrreensixrr•v iHcmdorrts r-ega;-dirrg required irzsl,7ec�£ions. DOu eble wall 1r•ip2e scull fi Iltsuklred / Dirccr rtritt C"lrirrrmn- 1-mer 1 41=XWAW.FA.1+0�'$W 37►4B JMJ wrJt3Md LXMIt — J7<30Jrrrarac is-PQFsx 4e -- 1 dd I Firm If orshal Calie S C'oi1C:c c'cl Refitw1cd ReCVI° Vd tir,rrt rr ( liirr l l rr)J: jo*k � lirlC lJ'�'.1 4': i .-f 1 ; ; 3389 (190) l'rr(Jlic S(rferi• e"JF 4 233 26 !? 3W Alinor Sales f XVhite (Applicant) Gi'evii ( Firr Marshal YeIlow ( 13k3e. DC17[. Pink 4u (, okicE7rod (Cashier's Dclx.) TOWN OF QUEENSBURY BUILDING & CODE .ENFORCEMENT 742 BAY ROAD QUEPNSBURY NY 12804 (518) 761-8256 ARRIVE : _. . . DEPART : INSP : ...�_ FINAL INSPECTION REPORT - RESIDE TIA DATE INSPECTION EQ EST R CEIV,L'D • NAME ; LOCATION DATE ' ( PERMIT �U TYPE OF STRUCTURE FOOTINGS FOUNDATION *-_-- ROUGH PLUMBING SE ROUGH BACKFILL FRAMING FINAL ELECTRICAL WOdi7ST4VFIQRUgIREPLACE -.yr- Y 6 �Pfi CHIMNEY HEIG TI VENrtlwiGHT _ PLUMBING Ty7FNT OOFI'NG EXTERIOR IN S DECK!PORCH1ST__,__ S Ep ^ r XLINGS .� REURF VALV$S Fj2RHACE O WA R P TI G !- TEERIOR TRIM IPRT JV 1Cy poORS I d BATHtKITCIiEN WATFI T?^r'H'I' dTH$R FI�ODRS SW>?.,ZrPAHL$ _ OTHER FLOdRS CARPET$D STAIR C�EA_,.1tABiCE/RAILINGS I7ET$C ORS ..y^ BATH RO0,13 ,FANS . ..`_ RLUMBING FIXTURE$ KOUNDATION INSULATSON G F RE OOFING Dd+�R CLOSERS FINAL ELE TRICA SITE FLAN/VARIANCE R$O _ FINAL SURVEY PLOm P�71A A} _ QK TO ISSUE C!O dR. C/,C MAP REFERENCE: LEHLAND ESTATES SUBDIVISION FINAL LAYOUT PLAN — PHASE 3 DATED: APRIL 27, 1999 BY: VAN DUSEN & STEVES LAND SURVEYORS, LLC Np Cj,�► 6 A \� SO51s, S1s,So • • ;�LEOF NEB, ' 5� ,���W" `�! Stever Land Surveyors, LLC 169 Haviland Road Queenebury, New York 12801 518) 792-8474 New York JAc. No. 50135 "WAI OIRI>fD KTERA110N ON AMTKIN TO A SLRLYEY IMP B[ANNQ A LIOWM LAND SURTEYORS TEAL D A YIOATIOI Or SECRON MIS, SIR-IMMM S. OF THE NEW )VAN STATE EDUCATI N LAW.' 'MY CORES FROM THE OALDNAL OF THIS SiI1LEY MARM SMITH AN ORIBNAL OF THE LAID SI RYEMB SEAL SHALL BE OOMIDEIIEl 10 K YALID TRUE CORES.' 'CERVICATIONS NINCATEO HOCAN SIOIBT THAT THIS SULYEY WS PREPARED INACCORDANCE AM THE EXISMIM CODE Or PRACTICE FCI! LAND SIAKE9C�S AW= OBL BY THE NEW YSTATE ABiOOAIft OF PROFESMONAL LAND SLIR1i"M SAD CERTIFICATIONS SHALL RTN ONLY TO THE PEIOON FOR TO M THE SURVEY IS PREPARED, AID HRH HIS BEHALF m THE TITLE COMPANY. SOYENNIAINTAL AGENCY AND LE1ON0 WJWKVM UST® HEIEpI. AND TO THE AS901M OF THE LOOM INST RMIN.' "� PSQN •¢ g"`N -n6 Z , _ 338 58 Ire 93 47,863 sq ft 1.10 acres 0, 94 Map of a Survey made for EDWARD C. & DENISE A. MATTHEWS Town of Queenabury, Marren County, New York NO. I DATE I HEREBY CERTIFY THAT THIS MAP WAS PREPARED FROM AN ACTUAL FIELD SURVEY. THIS CERTIFICA71ON SHALL RUN ONLY TO THE PERSONS FOR WHOM THE SURVEY WAS PREPARED. AND ON THEIR BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON. CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. CERTIFIED T0: Edward C. do Denise A. Matthews First Massachusetts Bank, N.A., its successors and/or assigns Chicago Title Insurance Company CERTIFIED BY: MATTHEW C. STEVES, LLS NYS 50135 DATED: November 14, 2000 DESCRIPTION 1 "a30' S --1 a-EEi 1 OR 1 LE-93 DWG. NO. 89423-93 ENTIAI.:Fl[NAL INSPECTION .REPORT Afflec No. ( 8) 761 825b inspection request received: I Building & Code Enforcement Dept. of Cnn iminity Development Arrive �V� Depart Town of Queensbury ctor's Initial. 742 Bay Road Queensbury, New 'York 12MM I..00ATION DATE 1 _5� TYPE OF STRUCTURE �•w N/A YES NO COMMENTS Chunney HeightP Venta rect Vent Location Fresh Air Plumb Vent ough roof Roof Compl,Ete Exterior Finish Complete 41 Interior/Ext 'or Railings 30' to 36" _. Exterior s, balconies, Iending 18 in or more Interior Handrails both sides 3 or more risers Grade 2% away from o tion 8" clearance to sill plate Gas Valve shutoff exposed/re 18" above grade _ Gas Furnace shut-off within 36 feet or line of site Oil Furnace shut-off at entrance to furnace Furnmeffint Water Heater operating /0L Relief Valve(s) installed Headroom, 6 ft. 6 in. on stairs Basement stairs, 6 ft. 4 in. OF Handrail exterior stairs both sides more than 3 risers Interior privacyltrun/doms/main entrance 36' Floor Finish Bathrooxn/i{itc:hen wateataght Interior Handrails Balconiesn anding 18 in. or xn Railing across window in stairwells Smoke Detectors: every level VV every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation 1/4 hour fine door/door closer Garage fireproofing Garage penetrations sealed Furnace in separate room pmt (in garage) Light ventilation per Safety glazing 18" or less from Final Electrical Site PlanfVariance required Final Survey Plot Plan `- As Built Septic Systarrr layout Okay to issue C/C (Certif_ of Compliance). Okay to issue temp. CIO (Certif. of Occupancy)_ Okay to issue permanent CIO (Certif. of Occupancy) FIRE MARSHAL TOWN OF QUEENSBURY QUEENSBURY, NY 12804 (518) 761-8205 I FIRE MARSHAL INSPECTION REPORT REQUEST RE96VED IF 13 R&MPERMIT # demo " M . NAME LOCATION 42� SCHEDULE"INSPECTION ON (ARDPM ANYTIME 0 APPROVED NIA YES NO EXITS AISLE WIDTHS EXIT SIGNS Pi EMERGENCY LIGH G +i FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYS W` FIRE SUPPRESSION ST _ HOOD INSTALLATIO INTERIOR FINISH STORAGE: CE TO SPRIIVKL S CLCE TO HEATING U TS REQUIRED SI E d CHIMNEY WOODST FIRE PLAC - MASONRY FIREPLACJ� FACTORY BUILT REMARK 1�� ❑ 0KyT��TO TH DATE I r, v. i jj({//JJf/NQQJJJPP��M rP-cruel INSPECTO � 4 REST ENTIAL FINAL INSPECTION REPORT Office No. (518) 761-8256 Late insl ection request received: ;?crrao Building & Code Enforcement moor Dept of Community Development .a y 1 Arriv ep Ax Town of Qaeenskury inspector's Initial0 742 Bay Road Queenmhury;14ew York 1/2804 NAIv1E � r G��r_ 15 _� PEI;mil T # LOCATION _ y , � � DATE J TYPE of STRUC N/A YES NO C(.)MN1E13'i''a" / Cbminey He ght)"B" Vent/Direct 'Vent L,ceation �7 f Fresh Air Intake 6 Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30" to 361". ^:° �[ � C C� �C�o� �R►�� \ t Exterior Handrails, balconies, landing 18 in. or more Interior Handrails stairs both sides 3 or more risers Crrade 2% away from foundation r 8" clearance to sill plate 'r Cras Valve shut-off exposed/regulator 18" above grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater opera Relief Valve(s) installed Headroom, 6 ft. 6 in. on stairs Basement stairs, 6 ft. 4 in, Handrail exterior stairs both sides more than 3 risers Interior privacy/trun/doors/rnain entrance 36" Floor Finish Bathroom/Kitchen watertight Interior handrails Balcortiesn anding 18 i r. cr more ' Railing across window in stairwells Smoke Detectors: every level oo every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation ['f`+m 3/4 hour fire door/door closer Garage fireproofing Garage penetrations sealed ' Furnace in separate room protected (in garage) *..... Light ventilation per room � ► �' rc S S � L�J��IyJF �ti�� Safety glazing 18" or less from floor Lee 1 Final Electrical Site Plan/Varianee required Final Survey Plot Plan As Built Septic System layout required. Okay to issue C/C (Certif, of Compliance) Okay to issue temp. C/o (Certif. of Occupancy)_ Okay to issue permanent C/o (Certif of oocupanc-;) {[ �•. .� �y jj' � � a"L.-fib` � �'*. - �. . " � � �' 76. - � P `�� ��.• � �f . � .+ram"":'.` _ _ -}__, r . " HE NEW YORK BOARD OF FIRE UNDERWRITE :>000000 £ Yrr� aLr STR aw= EI.W VORcrNY40 FULTON STREET, NEW YOR1C, NY 40098 Date Tit !VV;l4131+R 1 11 . :?'0 Ill Application No. on file 4 ? .34. 11Ik i f THIS CERTIFIES THAT PURM1.61' No . 21100 4?i W: only the electrical equipment as described below and snowduced by the applicant named on the above application number is in the premises of 1.1'Hk; MJ-ckikN14 ) C"0( S4 .:i.F RA IN 0" . UPINN81BURY , N'P in the following location; neR'nnt se FL 2nd Ft. GAP Section Block Lot 4#:-£ was examined on NOVF:V81MIR S-C} , 2000 and found to be in compliance with the National Electrical Code. - FIXTURE RECEPTACLES SwrrCNES FIXTURES I RANGES I COOKING BECKS OVENS DISH WASHERS EXHAUST FAIRS OUTLETS INCAN FLLIORESCENr OTHER AMT. K.W. AMT. K.W. AMT. 1C.W, AMT, K.W. AMT. H.P. 42 ,' la `s2 41 i r. , i 1 ` DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MUL71.OUTLEi DIMMERS SYSTEMS AMT. K.W. OIL N.P. OAS MP. AMT. NO. A. W. G. AMT. AMP. AMT. AMPS. 7RAN5_ AMT.. H.P. NO. OF FEET AMT• WATTS SERVICE DISCONNECT NO. Of S E R V I C E METER AMT, AMP. TYPE EQUIP. T / 2M 1 e SW S / 3W 3 e 4WNO. OF CC COND, NO. OF NI- E3NELrFRALS Or W .LPER I OF A N,Z; A W. a. OTHER APPARATUS: �T,.'(}i)�liy'1�`yy�].,];[1�1iT— .i y L"r . F . C . T : `i _ k'rvskIJE;ft r'�1 JFii :f L3(.}Pi}a l`�t.�FCC` . W3 i�L,.LHIH E3 . wf( '1'� R'L�)!i GENERAL MANAGER :i(;�} )k,NJ•�i_"1'k} )Y , 14Y , 1 :'. 30!+ Per ';19 This certificate must not be altered in any manner: return to the office of the Board if Incorrect. inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT, THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER, GENERAL L SPE+L"TIQ.NREP RT ( 518 ) 761 -8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement ,. 742 Bay Road � �} Queensbury, NY 12804 Arrive am/pm Depart ' Inspector's Initials L NAME: \ C fi (:- ,`5 PERNHT # LOCA1. N: ? DATE : ' 5 TYPE STRU RECI-IE NIA YE NO COMMENTS Footin Monte r rm I2einforccment in The cpntras for is pansible fiat providing protectio from freezing for 48 hours foil the placement of the concrete. Maieriais far this purpose site Foundation/Wallpoor Reinforcement in Place s Foundation/Dampproofing. Backfdl Approval Plumbing Under Stab _ Plumbing VenVVents in Place Rough Plumbi ' Heating Rough-In Insulation Foundation Walls In r R- _ Foundation Walls E or R- Floors R- Walls R- Ceiling R- 17uct work or pi ng in unheated sl es R- Proper Vent, Attic Vent Franzen Jack Studs/Headers Bracing/Bridgi Joist Ilangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour, Firestoppin GENERAL INSFECTI©N REPORT ( 518 ) 761 -8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queenshury, NY 12804 Arrive t>=- m Depart Inspector's Initial NAME: PEIMUT # IACATi+DN: MATE : fy-. j(a TYPE OF STRUCTURE: RECHECK NIA YES NO COMMENTS Footings/Piers T E Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Nvlaterials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing IL Backfill Approval Plumbing Linder Slab Plumbing Vent/Vents in Place Rough Plumbi Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framin Jack Studs/[Ieaders Bracing/Bridging Joist Hangers Jack Posts(Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour. Penetration Sealed Fire Wall 2, 3 a 4 hour Fiirtoppin UENERAL INSPEC77QN REPO7R'T ( 53. 8 ) 761 - 8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement Qu Bay Road y Qtteensbury, NY 128U4. A.r�riir++�'1-'���ur��I��Depairt Inspector's Initia NAME: 'V " �ic- S PERMIT # LOCATION; Cy i DATE : r 0 6o TYPE OF STRUCTURE: RECHECK " . s. A YES NO CC&IMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement Of the concrete, Materials for this purpose on site FoundationlWallpour Reinforcer entin Place Foundation/Dampproofing Backlill Approval Y Plumbing Under Slab Plumbing Vent/Vents in Place Ro Plumbin ting Rough-in elation Foundation Wails Interior Rt Foundation Walls Exterior R- Floors R- 1 Walls R- a1 Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Frami Jack Studs/Readers Bracin&?Bri Joist Hangers Jack Posts/Main Beam Air infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed. Fire Wall 2, 3, 4 hour Firestopping ' f FIRE MARSHAL TOWN OF QUEENSEiURY QUEENSBURY, NY 12804 (518) 761 -8205 4 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED /GJr/ r] rN NAME r }, LOCATION PERMIT # ��jl 4..►'�" SCHEDULE IN EC{T�ION ON j CO C; - o�/rJ Ir •-ee fee �__ APPROVED 6 N/A YES I NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS ZHIMN RED SIGNAGE EY WOOD STO E JFIREPLArr7E ❑ MASONRY FACTORY BLT. ROUGH-IN ❑ FINAL REMARKS: Ur,, } t # OK TO THIS DATE ti �'+ � INSPECTOR GENERAL INSPECTION REPORT ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road z, Queensbury, NY 12544 Arrive am/pm Depart ^� ,� y, Inspector's Ini+t�ia�ls NAME: y^ )v r S l nr2 iP• PERMIT # LOCATION: f`j DATE : TYPE OF STRUCTCJR.E; RECHECK N YES.._ T T(7 COMMENTS Footings/Piers I Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from !freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Walipour. Reinforcement in Plane Foundation/Dampproofing. Backfill Approval Plumbing under Slab Plumbing Vent/Vents in Place Rough Plumhin Heating Rough-In Insulation Foundation Walls Interior R.- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic vent Framing Jack Studs/Readers BracingMridgn Joist Bangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Scaled ire Wall 2, 3, 4 hour Firestoppin FIRE MARSHAL ~ TOWN OF QUEENSBURY QUEENSBURY, NY 12804 (518) 761 -8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED 0 ,3 NAME LOCATION 54 PERMIT # abo - Yea SCHEDULE INSPECTION ON r'1 � PM APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM _ FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYST HOOD INSTALLATION ` INTERIOR FINISHES STORAGE: CLEARANC TO SPRINKLERS _ CLEARAN TO HEATING UNITS _ REQUIRED SIGNA E CHIMNEY WOOD STO FIREPLA ❑ SONRY FACTORY BLT. RDUG -IN ,A �•- C] FINAL -;5Ce REMARKS: ! OK TO THIS DATE 4 I Ind INSPSYJpym INSPECTOR GENERAL INSPECTION REPORT �-- ( 518 ) 761 - 8256 Town of Queensbury { Dept. of Community Development Date inspection request received: V Building & Code EnforcementdJ , -- 742 Bay Road tr { L -- -- LL Qucensbury, NY 12804 Arrive am/pm Depart Inspector's InitialsLI NAME: PERMIT it ram}O06 LOCATI©N: SH ,�� r.-e DATE : TYPE OF STRUC'T'UPE: sf RECHECK NIA YES NO COMMENTS FootingslPiers Monolithic Pour Form Reinforcement in Place The contractor is responsibie for providing, protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site4-- Foundation/Wallpour. Reinforce:nient in Place FoundatYonv Dampproofin Backfili ,Approval Plumbing Linder Slab Plumbing Vent/Vents in Place Rough Plumbing____... Heating Rough-In *,* Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- _ L7uct work or piping in unheated spaces R- roper Vent, Attic Vent 1lac k Studs/Headers . _ Im-Joist Hangers ,NarcuAXa 1/t' I&Jack PbstslMain Beam Infiltration Barrier Fire Separation 1, 2, 3, hour y Penetration Sealed ire Wall 27 3, 4 hour ,+t"trestoppizt /�yS-,�RLL ,�'/l�'L�'�,r`t�JP � !t•'c�'F A�C'd ,c/'s rf i bre,41AJ QENERAL INSPECTION" REPORT { 518 ) 761 --8256 1 Town. of Queensbury Dept, of Community Development gate inspection request received: Building & Code .Enforcement 742 .Bay .Road p Queensbury: NY 12804 Arrive am/pm Depart�� pp1 Inspector's Initials _=r L/ NAME: i DATE #� ' ) Cn I.00ATICIS4 ��" �. �• z BPtiTE : C� RECTYPHECK C STRUCTUR.E: a RECHECK N/A YES NO COMMENTS S Foots ` Monolithic Pour±Fnn Reinforcement ice The contractor espo ibla for providing pron fro freezing for 48 hours following lacement Of the concrete. Materials for this ,*r++se on Foundation/Wal4 r u Reinforcement in Platte Foundation/Dampproofin Backfill ,Approval Plumbing Under Slab �bing Vent/Vents in Place glx Plurnbin Heating Rough-In Insulation Foundation Walls Interior R� Foundation Walls Exterior R- Floors R- Wails R- Ceiling R- (_. L .4 y'3 I i � i ' - +C IMPg C Duct work or in in _ f�. unheated spaces R- Prop• eat, Attic Vent Jack Studs/Headers �r 1C �T� 1 Rrw l rJ L; •i A c c Tv L�.r+4E C BracingBri I rc tt Z� i pE f �lCs 'rJ�►"1 .�-� [� f t+n Joist hangers Jack Posts/ ain Beam '✓Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour VIFirestopping, w FIRE MARSHAL TOWN OF QUEENSBURY QUEENSBURY, NY 12804 low (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED NAME LOCATION _ _._ PE _ IT # rV SCHEDULE INSPECTION ON 2 M PM APPROVED NIA YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING _ FIRE EXTINGUISHERS FIRE ALARM SYSTEM _ -- -- FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM _ HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKL . S CLEARANCE TO HEATING ITS REQUIRED SIGNAGE �HIMNEY C� G4C+ KI I STOVEWOOD 4 REPLAC EJMASONRY 0 ACTORY BLT. FTiH R©UGH-IN M44 'C�5 �r El FINAL v(z 'j 4� J�q.REMARK e(6 7dq KTO IS DATE n+SMIP.PUB iNSPECTOR TOM OF QUEEpSBURY OUI1.DING E CODE ENFaOdRCEMENT 742 Bay Ro Queensbury RY 12$�i4 (519) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name Location Date mPermit # SOIL TYP San L am- l a y- �_..------- n Test, ( if is of Pee ) R to-M nutellnch�. � ( if applicable ) '� (!? TYPE OF SYSTEM: ABSORPTIONFIELD : To t a L!tn h! � Length of each tr nchl Depth of trenches Size of stone SEEPAGE PITS = umft . + r_ ft ' ~ Size - __ Stone size -- �ype PIPING: ►Ixl2, �a Bldg , to Tanki Tank to Dist . Box ; Dist . Box to Field/Pi o art a Openings Sealed? es LOCATION,ISEPARATIONS �I(] feet Foundation to Tank feet Foundation to Abso tion feet Separation of Pits a No Conforms as per P1 ° Plan PROP LOCATION OF sYSTE" ( circle Lef Side - Right Side Front - lea _ Mid 1e Rear Middle Front COMMENTS= SyS7EM USE APPROVED : no Arrived Departed- Buildin 'Inspector GENERAL rLS s C IQN� REPORT ( 518 ) 761 -8256 Town of Queensbury Dept. of Community Development Date inspectio request received* Building & Code Enforcement 742 Bay Road +Queensbury, NY 12804 Arrive Lo t Depart ° inspector's Initia PERMIT # NAME: Q LOCATION: DATE TYPE OF STRI.]CTURE: RECHECK NIA YES NO COMMENTS Footings/Piers �— Monolithic ur — Reinforcement in P The contractor is ible for providing n fro freezing for 48 hours fol g the cement or the co Materials for purpose on si� Foundatill Ipour Reinforceme in Place \FourWNKR' 11 artPlsroofs ng— lI All plumbing der Slab Plumbing ntlVents in Place Rough PL ..n Heating -In_ Insulation Foundation tenor R- Foundation Walls Exterior R- Floors R- Walla R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Frami Jack StudslHeaders Bracing/Bridgin Joist Hangers lack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour, Firestopping GENERAL INSPECTION REPORT 1 1r ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12804. Arrive part:9 � is 11niti NAME: PERMIT # � ► LOCATION* � S'r3, Y� HATE TYPE OF STR CTL f ram=____ RBCEECK 'Y NIA E O COMMENTS tingslPiers I Monolithic Pour Form Reinforcement in Place The contractor is sponsible for providing protecti from fteczing for 48 hours folio the placement 1° of the concrete. Materials for this site Foundation/Wallpottr Reinforcement in Place , Foundation/Dampproo Backfill Approval Plutribing Linder Slab Plumbing Vent/Vents in Place Rough Plumbin Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- I Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Frarrt0 lack Studsl =lea+ders Bracing(Brlidging Joist Hangers Jack Post i'Main Beam Air Infiltration Barrier Fire Sep+annion 1, 2, 3, hour. Penetration Sealed Fire Wall 2, 37 4 hour Firming